Perineal massage to prevent tears in labor

The best way to add elasticity to the perineum, which is the set of muscles at the base of the pelvis that support the uterus and both the bladder and urethral sphincters, is through the perineal massage. This massage is necessary so that the entire area has the ability to adapt to the passage of the baby to the outside with the least possible risk of suffering a tear or minimizing the need for an episiotomy.

Massage should be done regularly. The evaluation of the woman's perineum by a gynecologist is essential and the use of oils that facilitate the technique is recommended. It can be carried out by oneself, it is true that, as the weeks go by and due to the discomfort of the size of the gut, this task becomes complicated for the woman and although she may continue to be the one who executes it with the help of a mirror, it is more practical for the couple or a specialist to help you carry it out.

To be more effective, it must be done from at least, six weeks before delivery. The future mother should be constant and spend about five or six minutes every day in the massage. Rosehip oil is the most widely used, although virgin olive oil is also valid, never perfumed ones. It is important that the woman is relaxed, comfortable, that she has cleaned the area well and that she does not touch the area of ​​the urethra and the clitoris. If you have an injury to your hands or if someone else will do it, it is advisable to wear latex gloves. It should be noted that the fingers must be well lubricated so that it does not cause discomfort.

- First, we must make sure we have the well lubricated fingers. If it is the woman who is going to do it, the two thumbs are used, if it is another person, the indexes. Fingers are inserted 2-4 cm and a 'U' is drawn, stretching outward, stretching the walls of the vagina, firmly, but without pain.

- It begins in the upper part without touching the urethra towards the lower part towards the anus and once there, press until a slight burning is felt, You must endure and learn to relax, as it will serve as training for when on the day of delivery, the baby's head passes through that point.

- Next, we must draw the 'u' from top to bottom and vice versa until we cover the 5 minutes and increase the time each day. The first days the muscles are tense, but if it is practiced regularly, little by little, the changes will be noticed.

Before starting and as the end of the massage, it is convenient to do some preparatory massages. Using oil, massage the outer and inner lips, drawing circles, pressing gently and gently stretching the lips. Always go from the bottom up, dedicate a few minutes to the massage to make the blood arrive by preheating the area and thus prepare it for the perineal massage. The pelvic floor expert physiotherapist will be able to indicate the steps to follow in case of doubt.

The woman must face the birth with the greatest serenity and tranquility that is possible. It is important that you know how to relax, channel the pain and use your breath as an ally. It is useless that you have massaged yourself before, that you have done the toning exercises of the pelvic floor, that he knows what breaths have to be done at each moment, yes at the moment of truth, he cannot relax and be aware of what is happening at each moment (speaking of natural childbirth) to know when to push, when to relax and when to regain strength. Birth is something natural that will happen anyway, but if we have the tools to make it safer, faster, less painful and less traumatic for our body, let's take advantage of them.

Marián Zamora Saborit
Physiotherapist. Pilates Technician
Psychomotor in Early Childhood Education
Marián Zamora's blog

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Video: PERINEAL MASSAGE - PRE BABY (December 2021).